NPIMap

Organization Active NPI

Priscilla M. Correa, M.D., a Professional Corporation

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1972948545
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18633 Issued in NE
Legal business name
PRISCILLA M. CORREA, M.D., A PROFESSIONAL CORPORATION
Practice address
4828 S 24TH St
Omaha, NE 68107-2703
Phone
(402) 731-9100
Fax
(402) 731-1297
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Priscilla M Correa, M.D.
Title
President
Phone
(402) 731-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 18633 NE Primary

Addresses

Primary practice location

4828 S 24TH St
Omaha, NE 68107-2703

Mailing address

4828 S 24TH St
Omaha, NE 68107-2703
Phone (402) 731-9100

National Provider Directory

National Provider Directory

Locations

4828 S 24th St
Omaha, NE 68107
Phone (402) 731-9100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1972948545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072703",
            "telephone_number": "402-731-9100",
            "fax_number": "402-731-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072703",
            "telephone_number": "402-731-9100",
            "fax_number": "402-731-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA M. CORREA, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-731-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.